Carter K L, Gabrellas A D, Shah S, Garland J M
Penn Center for Primary Care, University of Pennsylvania Health System, Philadelphia, Jefferson College of Pharmacy, Thomas Jefferson University, Philadelphia, Pennsylvania.
Tsehootsooi Medical Center, Fort Defiance, Arizona.
Int J Tuberc Lung Dis. 2017 Apr 1;21(4):432-437. doi: 10.5588/ijtld.16.0575.
Primary care clinic for refugees, Philadelphia, Pennsylvania, USA.
To assess the effect of a clinical pharmacist-run clinic for latent tuberculous infection (LTBI) on LTBI treatment completion rates in refugee patients.
In 2012, a pharmacist-run LTBI clinic was established to improve adherence and completion rates among refugees. Before 2012, LTBI treatment completion rates were less than 30%. A structured model was developed to efficiently track patients and ensure completion within specified time ranges. Interventions made by the pharmacist were recorded. Completion reports were forwarded to the Philadelphia Department of Health for tracking and statistical purposes.
Between 2012 and 2016, of 436 refugee patients screened, 121 (27.8%) were diagnosed with LTBI and 103 were referred to the pharmacist-run LTBI clinic to initiate treatment. Of those referred, 94% successfully completed LTBI treatment within the designated time frame, 40% of whom required an intervention from the pharmacist to remain adherent.
LTBI treatment completion rates more than tripled after the implementation of a pharmacist-run LTBI clinic. This successful model indicates that incorporating clinical pharmacists into interdisciplinary health care teams can enhance medication adherence and completion rates in refugee populations, leading to improved public health outcomes.
美国宾夕法尼亚州费城的难民初级保健诊所。
评估临床药剂师管理的潜伏性结核感染（LTBI）诊所对难民患者LTBI治疗完成率的影响。
2012年，设立了一个由药剂师管理的LTBI诊所，以提高难民的依从性和完成率。2012年之前，LTBI治疗完成率低于30%。开发了一个结构化模型，以有效地跟踪患者并确保在指定时间范围内完成治疗。记录药剂师的干预措施。完成报告被转发给费城市卫生部门用于跟踪和统计目的。
2012年至2016年期间，在436名接受筛查的难民患者中，121人（27.8%）被诊断为LTBI，103人被转介到由药剂师管理的LTBI诊所开始治疗。在那些被转介的患者中，94%在指定时间内成功完成了LTBI治疗，其中40%的患者需要药剂师的干预以保持依从性。
实施由药剂师管理的LTBI诊所后，LTBI治疗完成率增加了两倍多。这种成功模式表明，将临床药剂师纳入跨学科医疗团队可以提高难民群体的药物依从性和完成率，从而改善公共卫生结果。
